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None5% Other12% Medicaid25% PrivateInsurance58% Percent of Children with Health Care Coverage
Health Care Coverage
and Children’s Health
North Carolina 2009
1The North Carolina Child Health Assessment and Monitoring Program ( NC CHAMP) is a surveillance system that collects information about the health characteristics of children from age 0 to 17 years. This fact sheet includes data collected in 2009 on 2,370 parental surveys. For further information about NC CHAMP and detailed reports on health care coverage, please visit www. schs. state. nc. us/ SCHS/ champ or contact CHAMPstaff@ dhhs. nc. gov.
2CI = 95 percent confidence interval; explanation for how to interpret CIs is available at www. schs. state. nc. us/ SCHS/ champ/ interpreting. html.
Usual Source of Care by Type of Insurance78% 12% 9% 1% 96% 1% 3% 1% 0% 25% 50% 75% 100% Doctor's OfficePublic Health CenterHospital ER/ OutpatientOtherMedicaidPrivate Insurance
Health Insurance
Ninety- five percent of parents surveyed in North Carolina reported that their children ( age 0 to 17 years) are currently covered under some type of health insurance plan. 1 Fifty- eight percent of children are covered by private insurance; 25 percent of children are covered under Medicaid; and 12 percent are covered under some other type of insurance program ( e. g., N. C. Health Choice, the military, or Indian Health Service). This report compares children covered by Medicaid ( including Health Check and Carolina ACCESS) with children covered by private insurance ( including the State Employee Health Plan and other private health insurance plans purchased from an employer or directly from an insurance company). Due to small sample sizes, comparisons with the uninsured and other types of insurance groups are not included in this report.
Usual Source of Care
Parents reported the place they usually take their child for sick care; the majority of those with private insurance ( 96% [ CI 94– 97]) 2 and Medicaid ( 78% [ CI 73– 83]) take their child to a doctor’s office. However, children with Medicaid ( 12% [ CI 8– 16]) were more likely to visit a public health department or community health center than children with private insurance ( 1% [ CI 0– 1]), and also were more likely to visit a hospital outpatient department, hospital emergency room, or an urgent care center ( 9% [ CI 5– 12] vs. 3% [ CI 2– 4] respectively).
Health Care Access and Utilization
Parents were more likely to report not having a personal doctor, nurse or health professional that the parent felt knew their child well and was familiar with their child’s health history if their child was on Medicaid ( 20% [ CI 16– 25]) compared to children with private insurance ( 15% [ CI 12– 17]). However, the percentage of children who did not have a preventive or well child check- up visit within the past year were comparable in Medicaid ( 12%) and private insurance ( 10%) groups. Children on Medicaid ( 24% [ CI 19– 29]) were more likely to be without a dentist or dental clinic that they visited regularly compared to children with private insurance ( 14% [ CI 12– 17]). Children on Medicaid ( 23% [ CI 18– 28]) were also more likely to have not had preventive dental care within the past year compared to children with private insurance ( 15% [ CI 12– 17]), with 17 percent of children on Medicaid never having been to a dentist compared to 10 percent of children with private insurance.
Children’s Health Care Access by Type of Insurance20% 12% 24% 23% 15% 10% 14% 15% 0% 10% 20% 30% 40% 50% Without Personal Doctor or NurseWithout Preventive HealthCare in Past YearWithout RegularDental ClinicNo Preventive Dental Care in Past YearMedicaidPrivate Insurance

None5% Other12% Medicaid25% PrivateInsurance58% Percent of Children with Health Care Coverage
Health Care Coverage
and Children’s Health
North Carolina 2009
1The North Carolina Child Health Assessment and Monitoring Program ( NC CHAMP) is a surveillance system that collects information about the health characteristics of children from age 0 to 17 years. This fact sheet includes data collected in 2009 on 2,370 parental surveys. For further information about NC CHAMP and detailed reports on health care coverage, please visit www. schs. state. nc. us/ SCHS/ champ or contact CHAMPstaff@ dhhs. nc. gov.
2CI = 95 percent confidence interval; explanation for how to interpret CIs is available at www. schs. state. nc. us/ SCHS/ champ/ interpreting. html.
Usual Source of Care by Type of Insurance78% 12% 9% 1% 96% 1% 3% 1% 0% 25% 50% 75% 100% Doctor's OfficePublic Health CenterHospital ER/ OutpatientOtherMedicaidPrivate Insurance
Health Insurance
Ninety- five percent of parents surveyed in North Carolina reported that their children ( age 0 to 17 years) are currently covered under some type of health insurance plan. 1 Fifty- eight percent of children are covered by private insurance; 25 percent of children are covered under Medicaid; and 12 percent are covered under some other type of insurance program ( e. g., N. C. Health Choice, the military, or Indian Health Service). This report compares children covered by Medicaid ( including Health Check and Carolina ACCESS) with children covered by private insurance ( including the State Employee Health Plan and other private health insurance plans purchased from an employer or directly from an insurance company). Due to small sample sizes, comparisons with the uninsured and other types of insurance groups are not included in this report.
Usual Source of Care
Parents reported the place they usually take their child for sick care; the majority of those with private insurance ( 96% [ CI 94– 97]) 2 and Medicaid ( 78% [ CI 73– 83]) take their child to a doctor’s office. However, children with Medicaid ( 12% [ CI 8– 16]) were more likely to visit a public health department or community health center than children with private insurance ( 1% [ CI 0– 1]), and also were more likely to visit a hospital outpatient department, hospital emergency room, or an urgent care center ( 9% [ CI 5– 12] vs. 3% [ CI 2– 4] respectively).
Health Care Access and Utilization
Parents were more likely to report not having a personal doctor, nurse or health professional that the parent felt knew their child well and was familiar with their child’s health history if their child was on Medicaid ( 20% [ CI 16– 25]) compared to children with private insurance ( 15% [ CI 12– 17]). However, the percentage of children who did not have a preventive or well child check- up visit within the past year were comparable in Medicaid ( 12%) and private insurance ( 10%) groups. Children on Medicaid ( 24% [ CI 19– 29]) were more likely to be without a dentist or dental clinic that they visited regularly compared to children with private insurance ( 14% [ CI 12– 17]). Children on Medicaid ( 23% [ CI 18– 28]) were also more likely to have not had preventive dental care within the past year compared to children with private insurance ( 15% [ CI 12– 17]), with 17 percent of children on Medicaid never having been to a dentist compared to 10 percent of children with private insurance.
Children’s Health Care Access by Type of Insurance20% 12% 24% 23% 15% 10% 14% 15% 0% 10% 20% 30% 40% 50% Without Personal Doctor or NurseWithout Preventive HealthCare in Past YearWithout RegularDental ClinicNo Preventive Dental Care in Past YearMedicaidPrivate Insurance